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[全球应用20年后的抗结核化学预防]

[Antitubercular chemoprophylaxis after 20 years of its world-wide application].

作者信息

Zorini A O

出版信息

Minerva Med. 1979 Jan 14;70(2):89-96.

PMID:372851
Abstract

The researches carried out on calves (1952--1953) and over 3000 guinea-pigs, rabbits and rats in the Forlanini Institute of Rome for five years, are remembered. The first clinical experiment on a group of 500 children exposed to family contagion (1955--1956) is also related. The links between INH-prophylaxis and anti-tuberculous immunity, and between INH-prophylaxis and vaccination with BCG are discussed. The clinical indications of this method among miners with pneumoconiosis, in the psychiatric institutions, and among patients subjected to long cortisone treatment are exposed. A short synthesis of the favorable results obtained in many countries everywhere is reported. Lastly the Author synthesizes the vast experiment carried out during this decade by I.U.A.T. on the remarkable efficacy of INH-prophylaxis among adults with fibrotic lung lesions in seven nations in Europe. The Author concludes the paper, affirming that chemoprophylaxis with isoniazid, after 20 years of application, has obtained the official chrism and can furnish, besides the BCG vaccine, a remarkable contribution to the control of tuberculosis in all countries of the world.

摘要

人们还记得在罗马福尔拉尼尼研究所对小牛(1952 - 1953年)以及3000多只豚鼠、兔子和大鼠进行的为期五年的研究。文中还讲述了首次针对500名受家庭感染儿童的临床实验(1955 - 1956年)。讨论了异烟肼预防与抗结核免疫之间的联系,以及异烟肼预防与卡介苗接种之间的联系。阐述了该方法在患有尘肺病的矿工、精神病院患者以及长期接受可的松治疗的患者中的临床适应症。报告了在世界各地许多国家所取得的良好结果的简要总结。最后,作者总结了国际防痨协会在这十年间对欧洲七个国家患有肺部纤维化病变的成年人进行的关于异烟肼预防显著疗效的大规模实验。作者在论文结尾肯定地说,经过20年的应用,异烟肼化学预防已获得官方认可,除卡介苗外,它可为世界各国控制结核病做出显著贡献。

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